Organization
TRACIE EDWARDS DBA THE HEARING AID SHOP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACIE DAWN EDWARDS (OWNER)
(585) 928-1657
Entity
Organization
Contact information
Practice address
7760 ROUTE 417 W, BOLIVAR, NY 14715-9602
(585) 928-1657
(585) 928-1625
Mailing address
7760 ROUTE 417 W, BOLIVAR, NY 14715-9602
(585) 928-1657
(585) 928-1625
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
15000016138
NY
332BC3200X
Customized Equipment (DME)
F03199
PA
Other
Enumeration date
07/16/2010
Last updated
07/16/2010
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